Various peptide-based approaches to simultaneous induction of multiple
cytotoxic T lymphocyte (CTL) responses were evaluated as part of ongo
ing efforts to develop immunotherapeutic vaccines for use in humans. T
o this end, HLA (human histocompatibility leukocyte antigen)-A2-restri
cted epitopes from several specific viral proteins were tested in an H
LA-A2 transgenic mouse model system, which mimics human CTL responses
to these viral proteins. Multiple CTL responses were Elicited by immun
ization with either peptides emulsified in incomplete Freund's adjuvan
t (IFA), or lipidated peptides administered in phosphate buffered sali
ne (PBS). In the case of lipidated peptides, induction of CTL response
s was crucially dependent on the presence of helper T lymphocyte (HTL)
epitopes, and most efficient in the case of lipidated covalently link
ed HTL-CTL epitope constructs. CTL could also be induced by immunizati
on with lipidated HTL epitopes simply mixed with CTL epitopes and form
ulated in PBS. However this approach was highly dependent on the parti
cular lipidated HTL/CTL combination utilized and was marginally effect
ive for simultaneous priming of multiple CTL responses. By contrast, a
ll HTL/CTL combinations were potent immunogens when delivered as lipid
ated, covalently linked molecules. This was the most effective of the
approaches analysed in terms of multi-epitope priming, as demonstrated
by the induction of simultaneous CTL responses to a pool of five diff
erent epitopes. (C) 1998 Elsevier Science Ltd. All rights reserved.